Bill > S00828

This bill modifies the New York state health care quality and cost containment commission by expanding its responsibilities and adding new requirements for evaluating mandated health insurance benefits. The commission, which consists of thirteen members appointed by the governor, will now be required to conduct a comprehensive review of all existing state-mandated health benefits at least every three years. This review must include investigating current health plan practices, analyzing the potential premium impacts of modifying or repealing these benefits, examining evidence-based medical literature, and assessing potential costs to the state. The bill requires the commission to hold at least two public hearings and submit a report to the legislature by February 1, 2026, with recommendations for repealing or modifying existing mandated benefits. Importantly, the bill mandates that these recommendations should not be expected to increase the average premium in the state. The bill also specifies that the commission must now include at least one actuary, one expert on health benefits with at least 15 years of direct experience, and one physician. The legislature is required to vote on the commission's recommendations within 90 days of receiving them, providing a structured process for potential health insurance benefit reforms.

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https://www.nysenate.gov/legislation/bills/2025/S828